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{"sheet":"申込用紙（2024年度版）","index":0,"n_rows":47,"n_cols":17,"rows_kept":47,"cut":false,"hidden":false,"merged":[[36,13,37,15],[36,16,37,16],[30,9,30,16],[26,5,26,16],[27,5,27,16],[28,5,28,16],[34,13,34,15],[29,10,29,11],[29,12,29,16],[31,13,31,14],[31,5,31,7],[31,10,31,12],[29,5,29,9],[34,5,34,8],[15,3,15,9],[15,10,15,16],[16,3,16,9],[16,10,16,16],[17,10,17,16],[17,3,17,9],[6,4,6,16],[13,10,13,16],[14,3,14,9],[14,10,14,16],[12,11,12,16],[13,3,13,9],[11,10,11,16],[12,4,12,9],[35,3,37,3],[35,4,35,12],[31,3,31,4],[0,6,0,9],[9,2,10,2],[11,2,13,2],[6,2,7,2],[7,3,7,16],[8,3,8,16],[9,4,9,16],[10,3,10,16],[11,3,11,9],[0,14,0,16],[1,1,1,6],[2,2,2,16],[6,1,17,1],[30,3,30,4],[30,5,30,7],[21,3,21,4],[21,5,21,16],[20,3,20,16],[28,3,28,4],[26,3,26,4],[27,3,27,4],[25,3,25,6],[29,3,29,4],[22,14,22,16],[23,3,23,4],[23,7,23,8],[23,11,23,12],[25,7,25,16],[42,4,42,16],[48,1,48,16],[38,1,38,2],[38,3,38,5],[40,1,43,2],[41,4,41,16],[43,4,43,16],[40,4,40,16],[47,1,47,16],[46,3,46,6],[45,1,45,16],[4,13,4,15],[38,9,38,15],[18,1,19,2],[18,3,18,16],[36,4,37,12],[19,3,19,16],[35,2,37,2],[35,13,35,16],[32,3,32,16],[26,2,27,2],[28,2,30,2],[33,1,37,1],[33,3,34,3],[33,4,33,12],[33,13,33,16],[20,1,32,1]]}
[]
[null,"大阪公立大学　女性研究者支援室長　様"]
[null,null,"２０２4年度　理系女子大学院生チームIRISによるイベント実施について、下記のとおり申し込みます。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"2024年　月　日",null,null,"提出"]
[]
[null,"申込団体","団体名","ﾌﾘｶﾞﾅ："]
[]
[null,null,"申込代表者\n（職名・氏名）"]
[null,null,"住所","〒"]
[]
[null,null,"氏名","担当者①",null,null,null,null,null,null,"担当者②"]
[null,null,null,"ﾌﾘｶﾞﾅ：",null,null,null,null,null,null,"ﾌﾘｶﾞﾅ："]
[]
[null,null,"電話番号"]
[null,null,"携帯電話"]
[null,null,"連絡可能な時間帯"]
[null,null,"メールアドレス（ＰＣ）"]
[null,"IRISによるイベント\n実施を希望する理由\n\n（注意）選定基準に含まれます",null,"※出来るだけ具体的にご記入ください。"]
[]
[null,"イベント希望内容","イベント内容"]
[null,null,"希望企画","（例）親子企画"]
[null,null,"参加者（対象）",null,"小学生\n低学年",null,"小学生\n高学年",null,"中学生",null,"高校生",null,"保護者",null,"その他\n（　　　　　　　　　　　）"]
[null,null,"参加予定人数","児童・生徒",null,null,"名","おとな",null,null,"名","合計",null,null,"　　　名",null,"組"]
[null,null,"実施時期",null,"年",null,"月",null,"日","～",null,"年",null,"月",null,"日"]
[null,null,"実施希望時間","AM",null,null,null,"　＊実施時間などについてご希望があれば、ご記入ください（基本は2時間です）。\n"]
[null,null,"実施希望場所","場所名："]
[null,null,null,"住 　所："]
[null,null,"会場となる部屋","部屋名："]
[null,null,null,"　水の使用",null,null,null,null,null,null,"　火の使用",null,"　"]
[null,null,null,"収容可能人数：",null,null,null,null,"名","＊　場所の地図・部屋等の図面があれば、添付してください。"]
[null,null,"イベントの予算\n（貴団体負担）","全体で",null,null,null,null,"円","～",null,null,null,"円"]
[null,null,"実施についての\n注意事項など"]
[null,"Ｉ\nＲ\nＩ\nＳ\nへ\nの\n謝\n金","本学基準",null,"本学基準（IRIS謝金単価基準：一人あたり7,000円\n（イベント時間2時間+準備片付け時間2時間+交通費）にて支払い）",null,null,null,null,null,null,null,null,"予算総額"]
[null,null,"＊原則として本学基準での\nお支払いをお願いします。",null,null,"7,000円×",null,null,null,null,"人　＝",null,"円",null,null,null,"円"]
[null,null,"貴団体基準",null,"貴団体の基準にて支払い　（下記に一人あたりの金額 及び 予算総額等を記載してください）",null,null,null,null,null,null,null,null,"予算総額"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[null,"広報原稿　締切日",null,"イベント開催日の",null,null,null,"ヶ月前","・","　その他　（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　",null,null,null,null,null,null,"）"]
[null,"以下の全てに同意いたします。"]
[null,"同意事項",null,null,"参加予定定員を超えた場合は、安全面を考慮して、開催を中止させて頂く場合があります。"]
[null,null,null,null,"万が一に備えて貴団体にてイベント保険に加入してください。"]
[null,null,null,null,"広報と集客については貴団体にてお願いします。"]
[null,null,null,null,"実験内容、講演内容はIRISより提案します。"]
[]
[null,"＜提出先＞　 大阪公立大学　女性研究者支援室"]
[null,null,"E-mail:","gr-knky-wsupport@omu.ac.jp"]

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["　"]
["可",null,"AM",null,"サイエンスイベント"]
["不可",null,"PM",null,"講演"]
[null,null,"その他"]